Individual
AMY MACLELLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30701 WOODWARD AVE, SUITE 200, ROYAL OAK, MI 48073-0987
(248) 288-9333
(248) 288-1362
Mailing address
30701 WOODWARD AVE, SUITE 200, ROYAL OAK, MI 48073-0987
(248) 288-9333
(248) 288-1362
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6801088497
MI
1041C0700X
Clinical Social Worker
Primary
6801088497
MI
Other
Enumeration date
05/06/2008
Last updated
12/12/2016
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